ILYA BUNIMOVICH PA
NPI 1730852377
Physician Assistant in Saint Louis, MO
About Ilya Bunimovich Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILYA BUNIMOVICH PA (NPI 1730852377) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2021013043) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ilya Bunimovich Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Good Samaritan Regional Hlth Center
Acute Care Hospitals · Mount Vernon, ILSsm Health Saint Louis University Hospital
Acute Care Hospitals · Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ilya Bunimovich's NPI number?
The NPI number for Ilya Bunimovich is 1730852377. It was assigned to this individual provider in the NPPES registry on July 29, 2021.
Where is Ilya Bunimovich located?
Ilya Bunimovich practices at 1201 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 257-8000.
What is Ilya Bunimovich's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Ilya Bunimovich enrolled in Medicare?
Yes. Ilya Bunimovich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Ilya Bunimovich affiliated with any hospitals?
According to CMS data, Ilya Bunimovich is affiliated with Good Samaritan Regional Hlth Center and Ssm Health Saint Louis University Hospital.
When was this NPI record last updated?
The NPPES record for Ilya Bunimovich was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ilya Bunimovich, PA · NPI 1730852377
Physician Assistant physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since July 29, 2021.
## Identity
- **NPI:** 1730852377 (Entity type: Individual)
- **Enumerated:** July 29, 2021
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 2021013043 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 S GRAND BLVD, Saint Louis, MO 63104-1016
- **Phone:** (314) 257-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 28, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1730852377) · Data from the CMS NPPES public registry.